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West Virginia rates for HCPCS L0160

Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.16 / $91.16 / $91.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.98 / $87.24 / $114.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.51 / $238.21 / $308.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.69 / $140.55 / $240.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $235.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $121.82 / $956.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.78 / $88.03 / $138.10